Despite state and federal prevention efforts, fraud and abuse is rampant in the healthcare industry. Fortunately, the insurance industry's ability to root out fraud, waste and abuse will get a dramatic boost in October 2014, when the industry switches from the ICD-9 coding system to the vastly more complex and detailed ICD-10 system.
But during the transitional, it will be a challenge for payers to differentiate between an honest error and a fraudulent claim. It will take a while for provider coding patterns to become predictable again. Will you be ready when they do?
In this FierceHealthPayer special report, you'll learn:
Why it's crucial to have top-down support and well-trained staff
How to perform data analysis to root out fraud, waste and abuse
How to identify high-quality investigative leads
How to identify areas of greatest risk
Complete the form to the right to download your copy today!
